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Search parameters used for this particular query: Medical Claims Auditor Ijob / career / vacancy; job location: United States of America (USA). We found multiple listings that are shown below (this include part time / full time jobs / jobs near me).
Job Description: Validate the accuracy of claim billing, reviewing complex claims and coding,. The Medical Nurse Auditor conducts reviews of medical records, financial…
Company: Baylor Scott & White Health Hiring Organization: Baylor Scott & White Health Salary: TBD
Location: Killeen, TX Street Address: TBD
Locality: Killeen, TX Region: disclosed when applied Postal code: disclosed when applied
Job Description: Processes claims for unemployment compensation benefits, when workload demands, in order to relieve a backlog in the Benefit Adjudication Unit, and to ensure…
Company: The State of New Hampshire Hiring Organization: The State of New Hampshire Salary: TBD
Location: Claremont, NH Street Address: TBD
Locality: Claremont, NH Region: disclosed when applied Postal code: disclosed when applied
Job Description: Support the claims team in implementing initiatives in improving claims processing efficiency. Conducts pre and post payment adjudication audits of claims and…
Company: Hoag Memorial Hospital Presbyterian Hiring Organization: Hoag Memorial Hospital Presbyterian Salary: TBD
Location: Costa Mesa, CA 92626 Street Address: TBD
Locality: Costa Mesa, CA 92626 Region: disclosed when applied Postal code: disclosed when applied
Job Description: You will be responsible for monthly random and focus audits of all claim processing activities to identify inaccurate claims adjudication.
Company: UCLA Health Hiring Organization: UCLA Health Salary: TBD
Location: Los Angeles, CA 90095 Street Address: TBD
Locality: Los Angeles, CA 90095 Region: disclosed when applied Postal code: disclosed when applied
Job Description: The ideal candidate has a Certified Professional Coder or Certified Professional Medical Auditor certification and has either worked as a medical claims auditor…
Company: Milliman Hiring Organization: Milliman Salary: TBD
Location: San Diego, CA 92122 Street Address: TBD
Locality: San Diego, CA 92122 Region: disclosed when applied Postal code: disclosed when applied
Job Description: Prebilling/billing and follow up activity on open insurance claims exercising revenue cycle knowledge (ie;CPT,ICD-10 and HCPCS, NDC, revenue codes and medical…
Company: Advocate Aurora Health Hiring Organization: Advocate Aurora Health Salary: TBD
Location: Oak Brook, IL 60523 Street Address: TBD
Locality: Oak Brook, IL 60523 Region: disclosed when applied Postal code: disclosed when applied
Job Description: Certification as a professional medical auditor is preferred. Compile medical audit results and provide the Business Office Director monthly reports.
Company: North Texas Medical Center Hiring Organization: North Texas Medical Center Salary: TBD
Location: Gainesville, TX 76240 Street Address: TBD
Locality: Gainesville, TX 76240 Region: disclosed when applied Postal code: disclosed when applied
Job Description: Proficient/functional knowledge of electronic medical record systems and information technology. Quality Auditor is also involved in the clinical denial/appeal…
Company: Pomona Valley Hospital Medical Center Hiring Organization: Pomona Valley Hospital Medical Center Salary: TBD
Location: Pomona, CA 91767 Street Address: TBD
Locality: Pomona, CA 91767 Region: disclosed when applied Postal code: disclosed when applied
Job Description: Experience in medical records review, claims processing or utilization/case management in a hospital, clinical practice or managed care organization.
Job Description: Basic knowledge of medical claims. Prior coding or medical claims experience or training. Ensure that all invoicing for medical records, itemized bills and…
Job Description: Plan and perform medical record audits to determine coding accuracy and compliant claims submission; This specific position will require knowledge of medical…
Company: Berkeley Research Group, LLC Hiring Organization: Berkeley Research Group, LLC Salary: TBD
Location: United States Street Address: TBD
Locality: United States Region: disclosed when applied Postal code: disclosed when applied
Job Description: Processes claims in a timely and accurate manner by meeting or exceeding established quality and production standards, utilizing reference materials;…
Company: Community Health Group Hiring Organization: Community Health Group Salary: TBD
Location: Chula Vista, CA 91914 Street Address: TBD
Locality: Chula Vista, CA 91914 Region: disclosed when applied Postal code: disclosed when applied
Job Description: Refer large-dollar claims and trigger diagnosis to preliminary claims and case management departments. Set claims reserves and adjusts as needed.
Company: Tokio Marine HCC Hiring Organization: Tokio Marine HCC Salary: TBD
Location: Remote Street Address: TBD
Locality: Remote Region: disclosed when applied Postal code: disclosed when applied
Job Description: Validate the accuracy of claim billing, reviewing complex claims and coding,. The Medical Nurse Auditor conducts reviews of medical records, financial…
Company: Baylor Scott & White Health Hiring Organization: Baylor Scott & White Health Salary: TBD
Location: Temple, TX 76502 Street Address: TBD
Locality: Temple, TX 76502 Region: disclosed when applied Postal code: disclosed when applied
Job Description: Experience working with medical claims platforms. Working knowledge of medical terminology and claim coding. Position in this function investigates Optum Waste…
Company: Optum Hiring Organization: Optum Salary: TBD
Location: San Juan, PR 00917 Street Address: TBD
Locality: San Juan, PR 00917 Region: disclosed when applied Postal code: disclosed when applied
Job Description: At least three years of direct experience in coding/auditing outpatient services, and medical chart review for all provider/claim types for outpatient facility.
Job Description: Maintain claim files, such as records of settled claims and an inventory of claims requiring detailed analysis. May also settle insurance claims.
Job Description: We are seeking a talented individual for a Supervisor, Clinical Claim Review who is responsible for supervising the day-to-day prepay, post-pay, and utilization…
Job Description: The primary use of Dash Cams is to assist in the protection and safety of employees and property, prevention, and detection of criminal offenses such as vehicle…
Company: Franklin Energy Hiring Organization: Franklin Energy Salary: TBD
Location: Florence, SC Street Address: TBD
Locality: Florence, SC Region: disclosed when applied Postal code: disclosed when applied
Job Description: Job Summary: The Coding Auditor is responsible for the overread of documentation and coding of medical records at various partnered medical practices.
Company: Prominence Health Hiring Organization: Prominence Health Salary: TBD
Location: Reno, NV 89502 Street Address: TBD
Locality: Reno, NV 89502 Region: disclosed when applied Postal code: disclosed when applied
Job Description: The role of the auditor is to educate providers performing services in clinic base and hospital setting in ensuring documentation meets the reporting…
Company: El Camino Health Hiring Organization: El Camino Health Salary: TBD
Location: Mountain View, CA Street Address: TBD
Locality: Mountain View, CA Region: disclosed when applied Postal code: disclosed when applied
Job Description: Reviews, audits medical claims submitted by non-plan providers to ensure accuracy and appropriateness of charges submitted. Follows up on referral compliance.
Company: Kaiser Permanente Hiring Organization: Kaiser Permanente Salary: TBD
Location: Los Angeles, CA Street Address: TBD
Locality: Los Angeles, CA Region: disclosed when applied Postal code: disclosed when applied
Job Description: Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries.
Company: Elevance Health Hiring Organization: Elevance Health Salary: TBD
Location: Columbus, OH Street Address: TBD
Locality: Columbus, OH Region: disclosed when applied Postal code: disclosed when applied
Data as of 2023-12-01 (Loaded Cached) with id 14615. Database job listings: 1,214,315 jobs and growing. Find more jobs near me.
If you are switching jobs:
"I'm leaving behind the company" is a phrase that will require plenty of courage. When pronounced at the incorrect period or in the wrong way, it can employ a negative impact on your career. You may get a job offer you with another business where the pay out is higher, but you are still uncertain if that ongoing work environment will undoubtedly be better then the current one. After all, it isn't all about the money. What if you change your mind later? After all, this is simply not a straightforward decision. Needless to say your boss can forgive you and hire you back, nonetheless it is not guaranteed.
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